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Review
. 2021 Sep 7;10(18):4049.
doi: 10.3390/jcm10184049.

Bariatric Surgery and Hypertension

Elisenda Climent  1   2   3 , Anna Oliveras  2   4   5   6 , Juan Pedro-Botet  1   2   3 , Albert Goday  1   2   3   7 , David Benaiges  1   2   3   8
Affiliations
Review

Bariatric Surgery and Hypertension

Elisenda Climent et al. J Clin Med. .

Abstract

A clear pathogenetic association exists between obesity and arterial hypertension, becoming even more evident in subjects with severe obesity. Bariatric surgery has proved to be the most effective treatment for severe obesity, with its benefits going beyond weight loss. The present review aimed to determine the effects of bariatric surgery on arterial hypertension evident in short- and long-term follow-ups. Moreover, the differences between surgical techniques regarding hypertension remission are described as well as the possible pathophysiologic mechanisms involved. In addition, the effects of bariatric surgery beyond blood pressure normalization are also analyzed, including those on target organs and cardiovascular morbidity and mortality.

Keywords: bariatric surgery; blood pressure; hypertension; modifications of structural changes; obesity; severe obesity.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Mechanisms related to HTN remission. RAAS = Renin–angiotensin–aldosterone system; Na = Sodium; SNS ≠ sympathetic nervous system. ↑ ≠ increase; ↓ ≠ decrease.
See this image and copyright information in PMC

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